Implications of multiprofessional collaboration in primary care – benefits for all? A quantitative study of effects on resource utilization of a team-based primary care practice in Sweden

IF 3.6 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Anna H Glenngård, Mattias Haraldsson
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引用次数: 0

Abstract

We investigate differences in resource utilization between a multiprofessional team-based primary care practice and standard care for elderly patients with complex needs, from the perspective of different actors involved in healthcare delivery. The study is based on a mobile care team reform in a Swedish region, that spans across both organisational boundaries and different legislation. Our findings suggest that a shift towards a more proactive approach to outpatient care initially may lead to higher resource utilization and prevent hospital care and contribute to a more effective use of resources in the long run. The pattern observed is consistent the intentions behind the implementation of interventions aimed at shifting care closer to patients. Therefore, when implementing such interventions, it is important for decision-makers to be prepared to accept increased resource use initially in order to potentially benefit in the future. Our study highlights the challenges of measuring and comparing resource utilization across different actors. When implementing healthcare reforms that span across organisational borders, it is crucial to systematically collect and compile comparable data. Reliable information on the costs and patient outcomes associated with new ways of providing care, is important from both a management and a policy perspective.
多专业合作对初级保健的影响——对所有人有利?在瑞典,以团队为基础的初级保健实践对资源利用效果的定量研究
我们从参与医疗保健服务的不同参与者的角度,调查了多专业团队基础的初级保健实践和标准护理对具有复杂需求的老年患者的资源利用差异。这项研究是基于瑞典一个地区的移动医疗团队改革,它跨越了组织边界和不同的立法。我们的研究结果表明,一开始向更积极主动的门诊治疗方法转变可能会导致更高的资源利用率和预防住院治疗,并有助于更有效地利用资源。观察到的模式与实施干预措施背后的意图是一致的,目的是将护理转移到更接近患者的地方。因此,在实施此类干预措施时,决策者必须准备好接受最初增加的资源使用,以便将来可能受益。我们的研究强调了衡量和比较不同参与者的资源利用所面临的挑战。在实施跨越组织边界的医疗改革时,系统地收集和汇编可比数据至关重要。从管理和政策的角度来看,与提供护理的新方法相关的成本和患者结果的可靠信息都很重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Policy
Health Policy 医学-卫生保健
CiteScore
6.40
自引率
6.10%
发文量
157
审稿时长
3-8 weeks
期刊介绍: Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.
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